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在 COVID-19 大流行期间耳鸣患者的健康焦虑、冠状病毒焦虑和焦虑障碍的频率以及大流行对耳鸣的影响。

The Frequency of Health Anxiety, Coronavirus Anxiety and Anxiety Disorder in Patients With Tinnitus During the COVID-19 Pandemic and the Impact of Pandemic on Tinnitus.

机构信息

Department of Psychiatry, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey.

Department of Otorhinolaryngology, Antalya Training and Research Hospital, Antalya, Turkey.

出版信息

Clin Otolaryngol. 2024 Nov;49(6):725-732. doi: 10.1111/coa.14196. Epub 2024 Jun 28.

Abstract

OBJECTIVES

This study aimed to examine the frequency of anxiety disorder, coronavirus anxiety and health anxiety in tinnitus patients during the pandemic and also, determined the psychophysiological impact of COVID-19 on tinnitus.

METHODS

This cross-sectional study was conducted in a tertiary central pandemic hospital from 15 July 2021 to 15 December 2022. In total, 124 patients with tinnitus and 77 healthy controls participated in the study. The sociodemographic data, a set of valid and reliable assessment instruments were used to measure outcomes of anxiety disorder, coronavirus anxiety, health anxiety and severity of tinnitus.

RESULTS

Patients with tinnitus were found to experience higher levels of coronavirus anxiety, health anxiety and anxiety disorder than controls (p < 0.05). In tinnitus patients, the frequency of coronavirus anxiety was 22.6% and anxiety disorder was 18.5%. Notably, the levels of tinnitus severity were moderate to severe in more than half of the patients (51.6%) and also most of them (81.3%) reported that the severity of tinnitus during the pandemic was higher compared with the pre-pandemic.

CONCLUSION

Tinnitus patients had high levels of anxiety disorder, coronavirus anxiety and health anxiety. In line with these findings, it was evaluated that there was a relationship between the COVID-19 pandemic with psychological problems and tinnitus. Therefore, the predominance of tinnitus symptoms at presentation should not lead the clinician to neglect the underlying psychopathological problems in these patients.

摘要

目的

本研究旨在探讨疫情期间耳鸣患者焦虑障碍、冠状病毒焦虑和健康焦虑的发生频率,并确定 COVID-19 对耳鸣的心理生理影响。

方法

这是一项横断面研究,于 2021 年 7 月 15 日至 2022 年 12 月 15 日在一家三级中枢传染病医院进行。共有 124 例耳鸣患者和 77 名健康对照者参与了这项研究。使用社会人口统计学数据和一套有效可靠的评估工具来衡量焦虑障碍、冠状病毒焦虑、健康焦虑和耳鸣严重程度的结果。

结果

与对照组相比,耳鸣患者的冠状病毒焦虑、健康焦虑和焦虑障碍水平更高(p<0.05)。在耳鸣患者中,冠状病毒焦虑的发生率为 22.6%,焦虑障碍为 18.5%。值得注意的是,超过一半的患者(51.6%)的耳鸣严重程度为中度至重度,而且他们中的大多数(81.3%)报告称,与大流行前相比,大流行期间的耳鸣严重程度更高。

结论

耳鸣患者的焦虑障碍、冠状病毒焦虑和健康焦虑水平较高。与这些发现一致,评估认为 COVID-19 大流行与心理问题和耳鸣之间存在关联。因此,在这些患者中,不应因出现耳鸣症状而忽视潜在的心理病理问题。

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